17 Annual Conference of th 17 Annual Conference of CSOS th CHHATTISGARH STATE OPHTHALMOLOGICAL SOCIETY Bilaspur Divisional Ophthalmolgical Society Host 16 & 17 December 2017 16 & 17 December 2017 th th th th Venue The Aananda Imperial Hotel, Vyapar Vihar Road, Bilaspur (C.G.) 495001 Organizing Chairman Mehta Nursing Home & Eye Care Masanganj, Bilaspur (C.G.) Phone : 07752 - 426656, Mob. : 98930-78050, 8839611889 E-mail : [email protected] Dr. Sanjay Mehta Organizing Chairman Mehta Nursing Home & Eye Care Masanganj, Bilaspur (C.G.) Phone : 07752 - 426656, Mob. : 98930-78050, 8839611889 E-mail : [email protected] Dr. Sanjay Mehta Organizing Secretary Luthra Vision Care & Research Centre LLP Nehra Nagar Road, Bilaspur (C.G.) 495 001 Ph : 07752- 271297, 400965 Mob : 9755595900 Email : [email protected] Dr. Saurabh Luthra REGISTRATION FORM Name .................................................................................. CSOS Membership No........................Age...........Sex........... Address................................................................................ ............................................................................................. ............................................................................................. Mobile/Phone No................................................................ Accompanying Persons........................................................ ............................................................................................. Registration Fee Payment Details: CSOS Member ......................Non CSOS Member .................. Resident............................... Guest....................................... Trade Delegate....................... All Total .................................. Paid by Cash/DD/Cheque No.............................................. ............................................................................................ Dated...................................... DD is to be drawn in favour of " " 17th Annual Conference of CSOS 2017 Please send filled up Registration Form to : Ma Mahamaya Temple, Ratanpur Wonder World, Pendari Khutaghat Dam, Ratanpur Kanan Pendari Zoo, Pendari TOURIST PLACE Last Date for : Abstract Submission : 15/09/2017 Full Text Submission : 15/10/2017 Rooms available at Conference Venue on first come first serve basis:- Single Bed Room : 3500/- Double Bed Room : 4000/- Please Contact Saunak Bakchi Mob. 7970001924